What clinical examination of cervical vertebra disease

When patients go to the hospital, the doctors should have medical history and physical examination. History is your own disease and disease, the history of treatment, to be detailed and accurate. Physical examination is a doctor according to the information provided by the medical history of a disease, into the line of various checks to establish or deny the disease, to provide a basis for the correct diagnosis, often include the following aspects.

1, tenderness of the point of tenderness, tenderness, tenderness position is consistent with the affected segment.

In 2, cervical range of flexion, extension, lateral flexion and rotation of the inspection activities. Cases with cervical spondylopathy neck activity of nerve root type restricted more obvious, and vertebral artery type of cervical spondylosis were in a direction can appear vertigo.

3, intervertebral bar extrusion test in patients with head to the affected side tilt, check left palm flat on the patients head, right hand palm tap hammer on the dorsum of the left arm, such as the emergence of radicular pain or numbness in the positive. Severe symptoms of nerve root in the hands gently press the head pain, numbness or performance can be increased.

4, intervertebral bar separation test on the suspected a radicular symptoms, patients sitting, hands cradling the head upward traction, such as numbness in the upper limb pain alleviated positive.

5, nerve root traction test, also known as brachial plexus pull test, patient seat, head turned to the contralateral, check a hand against her behind the ear, a hand holding the wrist in the opposite direction to pull, such as the emergence of numbness or pain radiation is positive

6, Hoffman people sign the right hand were examined light care patients with forearm, hand index finger grip which means, thumb tapping hit nails, if there is any positive four finger flexion reflex, pre Department of spinal cord and nerve damage.

7, neck rotation test also called vertebral artery twisting test, patient seat, do active rotary movement of the neck, repeated several times. If vomiting or sudden fall, that is, the test positive, suggesting that vertebral artery type of cervical spondylosis.

8, sensory disorder examination of cervical spine patients to do skin sensory examination to help understand the extent of the lesion. Different parts of the sensory disorders can be identified in the cervical spine of the segment; pain generally in the early emergence, the emergence of numbness in the middle, the feeling is completely disappeared in the late stage of the disease.

9 muscle strength of the examination of the cervical spondylosis injured nerve root or spinal cord, muscle strength were decreased, if the loss of nerve innervation then muscle strength can be zero. According to different muscles, the nerve injury can be judged according to the different parts of nerve injury.